India Degwen Gray-Schmiedlin, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

301-266 Issued in WI

Practice address

2305 Echo Harbor Dr
Pearland, TX 77584-1570

Phone

(414) 324-1909

NPI assigned

May 7, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497989206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3863 N 53RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162201",
            "telephone_number": "414-324-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 ECHO HARBOR DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841570",
            "telephone_number": "414-324-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY-SCHMIEDLIN",
        "first_name": "INDIA",
        "middle_name": "DEGWEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "WI",
            "license": "94489",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "301-266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graham Capital Ventures, Inc.
• Ashley Grahmann
• Ana Grant, LPC
• Gale Grant, LPC, NCC
• Jennifer Grant
• Arielle M Gray, LMSW
• Gregory M. Gray, LMT
• Jennifer Denise Gray, MD
• Marissa Marie Gray, PT, DPT
• Michelle Gray

• Mental Health Counselor in Pearland, TX
• Providers in Pearland, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.